McCormack M, Homsy Y, Laberge Y
Department of Urology, Hôpital du Haut-Richelïeu, Saint-Jean-sur-Richelieu, Que.
Can J Surg. 1993 Apr;36(2):152-4.
The Mathieu procedure is a surgical technique for anterior hypospadias repair. The disadvantage of this technique is the prolonged hospital stay associated with postoperative urinary diversion. In an effort to reduce the length of hospital stay the authors carried out a prospective study to determine the usefulness of urethral stents and urinary diversion after Mathieu repair. Seventeen boys (mean age 4.1 years) formed the experimental group, and 19 boys (mean age 4.6 years) served as controls. Urinary diversion and urethral stents were used postoperatively in the control group but not in the experimental group. After a minimum of 6 months of observation the complications noted in both groups were found to be similar. The authors conclude that urinary diversion and urethral stents have no beneficial effects on surgical outcome but do prolong hospital stay.
马蒂厄手术是一种用于修复前尿道下裂的外科技术。该技术的缺点是术后尿液改道导致住院时间延长。为了缩短住院时间,作者进行了一项前瞻性研究,以确定马蒂厄修复术后使用尿道支架和尿液改道的有效性。17名男孩(平均年龄4.1岁)组成实验组,19名男孩(平均年龄4.6岁)作为对照组。对照组术后使用尿液改道和尿道支架,而实验组未使用。经过至少6个月的观察,发现两组的并发症相似。作者得出结论,尿液改道和尿道支架对手术结果没有有益影响,但确实会延长住院时间。